Ungakuyeka njani ngokuKhuselekileyo ukuthatha iGabapentin (Neurontin)

Umxholo

• Uyenza lula njani i-gabapentin?
• Kwenzeka ntoni ukuba ngequbuliso uyeke i-gabapentin?
• Ukusetyenziswa kwelebheli engekho ngaphandle kwelebula
• Izizathu unokukhetha ukuyeka ukuthatha i-gabapentin
• Imiphumela
• Ukusebenzisana kweziyobisi
• Uziva ubhetele
• IGabapentin ayisebenzi
• Kubiza kakhulu
• Utyando kunye ne-gabapentin
• Imbonakalo yokumisa i-gabapentin
• Ukuthatha

Ngaba uthathe i-gabapentin kwaye wacinga ngokuyeka? Ngaphambi kokuba uthathe isigqibo sokuyeka eli yeza, kukho ulwazi olukhuselekileyo lokhuseleko kunye nomngcipheko wokuba uqwalasele.

Ukuyekisa ngesiquphe i-gabapentin kunokwenza ukuba iimpawu zakho zibe mbi. Inokuba yingozi. Unokuba nokuphendula okunzulu njengokuxhuzula ukuba uyeka ngequbuliso.

Ugqirha wakho unokumisela i-gabapentin ukuba inyange ukubanjwa okuxhalabisayo, okanye i-postherpetic neuralgia, uhlobo lwentlungu ebangelwa ziintsimbi.

Unokuqhelana nohlobo oludumileyo lwe-gabapentin ebizwa ngokuba yi-Neurontin. Olunye uphawu nguGralise.

I-Gabapentin enacarbil (Horizant) yamkelwe kwisifo somlenze ongazinzanga kunye ne-postherpetic neuralgia. IGabapentin ikwacacisiwe ukuba ingabikho kwileyibhile yezinye iimeko. Ukumiselwa kwelebheli engacacanga kuxa ugqirha emisela amayeza ngendlela eyahlukileyo kunokwamkelwa yi-FDA.

Ungayeki ukuthatha i-gabapentin ngaphandle kokuxoxa kuqala nogqirha wakho. Ugqirha wakho unokuhlengahlengisa iidosi ukuba unengxaki. Ukuba ufuna ukuyeka ukuthatha amayeza akho, yenze phantsi kweliso likagqirha ngelixa unciphisa idosi yakho ngokuthe ngcembe.

Uyenza lula njani i-gabapentin?

Ukucofa okanye ukunciphisa kancinci idosi yakho yindlela ecetyiswayo yokuyeka ukuthatha i-gabapentin.

Ukucofa kude kuya kukunceda uphephe iziphumo ebezingalindelekanga. Umda wokunciphisa i-gabapentin uxhomekeke kumntu kunye nakwidosi yangoku yeyeza.

Ugqirha wakho uya kuphuhlisa isicwangciso sokukususa kancinci kunyango. Oku kunokunciphisa idosi ngaphezulu kweveki okanye ngaphezulu kweeveki ezininzi.

Unokuba noxinzelelo, ukuphazamiseka, okanye ukulala xa idosi yakho incitshisiwe. Kubalulekile ukuxoxa ngazo naziphi na iimpawu ohlangabezana nazo nogqirha wakho ukuze bakwazi ukuhlengahlengisa ishedyuli yakho yedosi. Khumbula ukuba ishedyuli iyaguquguquka kwaye intuthuzelo yakho ibalulekile.

Ukuba ufumana ukuxhamla, ukuphefumula okufutshane, okanye ezinye iimpawu ezinzulu zibiza i-911 okanye ufune unyango ngokukhawuleza.

Ugqirha wakho unokukujonga ngelixa ususa ichiza, kwaye uphathe naziphi na iimpawu ezinje:

• ukuxhuzula
• iziphumo ebezingalindelekanga ezinje ngokugulisa umzimba, umkhuhlane, isicaphucaphu, ukungcangcazela, okanye umbono ophindwe kabini
• Iimpawu zokurhoxa ezinjengokubila, isiyezi, ukudinwa, iintloko, kunye nabanye
• ukwanda kwemeko yakho okanye iimpawu

Kwenzeka ntoni ukuba ngequbuliso uyeke i-gabapentin?

Kubalulekile ukuxoxa ngezinto ezikuxhalabisayo malunga ne-gabapentin Ekuqaleni nogqirha okanye usokhemesti ngaphambi kokuba uyeke amayeza.

Unokuba neempawu ezithile ukuba uyeka ngequbuliso i-gabapentin:

• Iimpawu zokurhoxa njengokuphazamiseka, ukungazinzi, unxunguphalo, ukuqaqanjelwa sisisu, isicaphucaphu, ukubila, okanye iimpawu ezinje ngomkhuhlane. Umngcipheko wokurhoxa uphezulu ukuba uthatha iidosi eziphezulu okanye ukwi-gabapentin ngaphezulu kweeveki ezi-6. Iimpawu zokurhoxa zinakho ukusuka kwiiyure ezili-12 ukuya kwiintsuku ezisi-7 emva kokuyeka iyeza.
• imeko yokuxhuzula, ongumjikelo okhawulezileyo womsebenzi wokubamba ukuze umntu afumane ukubanjwa phantse rhoqo kangangexesha elithile
• ukubetha kwentliziyo ngendlela engaqhelekanga
• ukudideka
• intloko ebuhlungu
• ukudinwa
• ubuthathaka
• ukubuya kwentlungu

Ukusetyenziswa kwelebheli engekho ngaphandle kwelebula

IGabapentin imiselwe ngaphandle kwelebheli kwiimeko ezininzi kubandakanya:

• migraine
• ukuphazamiseka koxinzelelo
• ifibromyalgia
• ukuxhuzula
• ukuphuthelwa

IGabapentin ikwasetyenziselwa ngaphandle kwelebheli ukunyanga iintlungu ezingapheliyo (njengenye indlela yonyango lwe-opioid), ingxaki yokusebenzisa utywala (AUD), kunye nengxaki yokusebenzisa iziyobisi (SUD).

Namhlanje kukho inkxalabo ekhulayo malunga nokusetyenziswa gwenxa kwe-gabapentin. Inani elikhulu lemigqaliselo lithetha ukufikelela ngakumbi kwi-gabapentin.

Umngcipheko wokusetyenziswa gwenxa uphezulu phakathi kwabo bane-SUD esele ikho-. Ukusweleka kokudlula ngaphezulu bekudityaniswe nezinye iziyobisi.

bonisa ukonyuka kokusweleka kweleverdose kwiminyaka yakutshanje enxulunyaniswa nokunyuka kwenani lemigqaliselo iyonke. Ezinye iziyobisi ezinjenge-opioid ezithathwe kunye zonyusa umngcipheko wokudlula.

Abaliqela ngoku bathathela ingqalelo umthetho ukunceda ukunqanda ukusetyenziswa gwenxa. Uninzi lubeke iimfuno ezizodwa zokubeka iliso endaweni ye-gabapentin.

Izizathu unokukhetha ukuyeka ukuthatha i-gabapentin

Ukuba uthathe i-gabapentin, wena nogqirha wakho ninokuthetha ukuba iyeza liyasebenza. Oku kunokubandakanya incoko malunga nokunciphisa okanye ukumisa iyeza ngezizathu ezininzi.

Imiphumela

IGabapentin ineziphumo ebezingalindelekanga ezinxulumene nayo. Ezinye zinokuba nzulu okanye zikhathaze ngokwaneleyo ukuyeka iyeza.

Iziphumo ezinokubandakanya:

• uguquko (ukudumba kwezandla okanye ubuso, ukurhawuzelela, ukuqina kwesifuba, okanye ingxaki yokuphefumla)
• Iingcinga zokuzibulala okanye indlela yokuziphatha
• isicaphucaphu nokugabha
• umkhuhlane okanye usulelo lwentsholongwane
• ukunqongophala kolungelelwaniso kunye neengxaki zentshukumo ezinokubangela ukuwa okanye ukwenzakala
• Ukozela, ukuba nesiyezi, okanye ukudinwa okunokuchaphazela ukuqhuba okanye imisebenzi yomsebenzi
• ukungcangcazela
• umbono kabini
• ukudumba kweenyawo okanye imilenze

Ukuba uneengcinga zokuzibulala, khangela uncedo lwezonyango kwangoko ngokutsalela umnxeba ku-911 okanye utsalele umnxeba i-National Suicide Prevention Lifeline e-800-273-TALK ngoncedo 24/7.

Ukusebenzisana kweziyobisi

Inkqubo ye-nervous system (CNS) yokudakumba njengotywala kunye neeopioid ezithathwe kunye ne-gabapentin zinokunyusa ukozela kunye nesiyezi.

Iziphumo ezinobungozi zinokubandakanya iingxaki ngokuphefumla kunye notshintsho lobume bengqondo. Umngcipheko wokufa usebenzisa i-opioids kunye ne-gabapentin unyuke ngeedosi ze-gabapentin ngaphezulu kwe-900 milligram ngosuku.

I-Antacids ene-aluminium kunye ne-magnesium efana neMaalox neMylanta inokunciphisa iziphumo ze-gabapentin. Kungcono ukubathatha bahlukaniswe ubuncinci iiyure ezi-2.

Uziva ubhetele

Khumbula, ukuthatha i-gabapentin kunokuphucula iimpawu zakho zentlungu okanye ukuxhamla kodwa ukuyeka iyeza kunokubuyisela iimpawu.

Kubalulekile ukuba uthethe nogqirha wakho phambi kokuba uyeke iyeza ngokwakho.

IGabapentin ayisebenzi

Ukuba iimpawu zakho azikhange ziphuculwe okanye uziva usiba mbi, buza ugqirha wakho ngezinye iindlela zokunyanga imeko yakho.

Kubiza kakhulu

Ukuba iindleko zonyango lwakho ziphezulu kakhulu, buza usokhemesti okanye ugqirha wakho malunga nolunye ukhetho lwamayeza.

Zonke ezi zizizathu ezibalulekileyo zokujonga ukumisa i-gabapentin. Khumbula, wena kunye nabanikezeli bezempilo bangamaqabane. Kufuneka bazi ukuba unengxaki yokuthatha i-gabapentin. Banokwenza isicwangciso esikhuselekileyo sokumisa amayeza kwaye bafumane enye indlela esebenza ngcono.

Utyando kunye ne-gabapentin

I-Gabapentin inokubangela i-sedation kwaye inyuse iziphumo zonyango oluthile njengeeopioid ezisetyenziswe ngaphambi okanye emva kotyando. Kuya kufuneka ukuba utshintshe idosi yamayeza akho ukuthintela iingxaki ukuba ucwangciselwe uqhaqho.

Kubalulekile ukuba oogqirha bakho bazi malunga nawo onke amayeza akho ngaphambi kokuhlinzwa. Musa ukulibala, oku kubandakanya utyando lwamazinyo, nawo.

Abanye oogqirha basebenzisa i-gabapentin ukunciphisa ukusetyenziswa kwe-opioid kotyando. Izigulana ezifunyenweyo zinikwe i-gabapentin ngaphambi kotyando oluxele ukusetyenziswa okuncinci kwe-opioid emva kotyando kwaye bafumana iziphumo ebezingalindelekanga.

Ngamanye amaxesha iGabapentin ibandakanywa kulawulo lwentlungu ngaphambi okanye emva kotyando ukunciphisa idosi kunye neziphumo ebezingalindelekanga ezivela kwiopioids ezinjenge morphine. Kutshanje kufunyenwe abantu basebenzise iiopioid ezimbalwa kwaye bachacha ngokukhawuleza xa bethatha i-gabapentin emva kotyando.

Buza ugqirha wakho malunga neenketho zokulawula iintlungu kwaye ubazise ukuba sele uthatha i-gabapentin ukuthintela ukugqithisa.

• Ukuba iimpawu zakho ziba zimbi okanye awuziva ngcono
• Ukuba unazo naziphi na iziphumo ebezingalindelekanga ezithile
• Ukuba uthatha amanye amayeza afana neopioid okanye i-benzodiazepines
• Ukuba unengxaki yokusebenzisa iziyobisi, unokufuna ukubeka iliso ngokukodwa

Imbonakalo yokumisa i-gabapentin

Ukuba ufuna ukuyeka ukuthatha i-gabapentin kodwa unenkxalabo malunga neempawu zokurhoxa kunye nezinye iziphumo ebezingalindelekanga, thetha nogqirha wakho kwaye wenze isicwangciso esikusebenzelayo.

Unokufumana ukuphazamiseka, ukulala, okanye uxinzelelo. Buza ugqirha wakho malunga nendlela yokuphatha ezi okanye ezinye iimpawu.

Inqanaba lokungonwabi onalo ekurhoxisweni liya kuxhomekeka:

• iminyaka yakho
• imeko inyangwa
• idosi yakho ye-gabapentin kwaye uthathe ixesha elingakanani
• nayiphi na imeko yezempilo kubandakanya iSUD

Ukuthatha

Ukuyeka kancinci kancinci i-gabapentin kubalulekile ukuthintela iziphumo ebezingalindelekanga ezinobungozi kunye neempawu zokurhoxa. Sukuyeka ukuthatha iyeza ngokwakho. Ugqirha wakho unokujonga isicwangciso sokuthintela ukuyeka ngempumelelo ukusetyenziswa kwe-gabapentin.

Kuthatha ixesha elingakanani ukumisa amayeza kuye kuwe nakugqirha. Ukuyeka i-gabapentin yinkqubo yomntu ngamnye, kwaye akukho xesha ngqo. Ingathabatha iveki okanye iiveki ezininzi.

Buza malunga neenkonzo zenkxaso ezinje ngokucebisa okanye ngenkxaso yeemvakalelo ukuba ufuna uncedo lokulawula iimpawu zokurhoxa.